James Wieberg in Jefferson City - Professional
James Wieberg - NPI 1689614596
James Wieberg is a Professional in Jefferson City, Missouri. James Wieberg practices all healthcare services and medical treatments related to Professional. The NPI Number for James Wieberg is 1689614596. The last update date is 2009-07-01.
James Wieberg's current location address is 1432 Southwest Blvd, Jefferson City, Missouri. You can contact this provider via phone number 5736325560 and fax number 5736325875. The mailing address for James Wieberg is 1432 Southwest Blvd, Jefferson City, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | James Wieberg |
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Address | 1432 Southwest Blvd, Jefferson City, Missouri |
Phone Number | 5736325560 |
Fax Number | 5736325875 |
Sole Proprietor | N |
Credentials | LPC |
NPI Number Detail
NPI Number | 1689614596 |
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Provider Enumeration Date | 2006-06-08 |
Last Updated Date | 2009-07-01 |
Provider Mailing Address Detail
Address | 1432 Southwest Blvd |
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City | Jefferson City |
State | Missouri (MO) |
Post Code | 65109 |
Phone Number | 5736325560 |
Fax Number | 5736325875 |
Provider's Primary Taxonomy Detail
Speciality | Professional |
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Taxonomy | 101Yp2500X |
Licence No | 612 |
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
493618003 | MO | -- | |
109949 | MO | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to James Wieberg?
The James Wieberg has been issued the NPI (National Provider Identifier) 1689614596 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where James Wieberg is physically located?
The James Wieberg is situated at the following address: 1432 Southwest Blvd, Jefferson City, MO 65109.
What is the James Wieberg's specialty and taxonomy code?
The James Wieberg's specialty is Professional, and the corresponding taxonomy code is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services issue the 1689614596 to James Wieberg?
The James Wieberg received its 1689614596 assignment from the Centers for Medicare & Medicaid Services on 2006-06-08.
As of what date were the details pertaining to James Wieberg last refreshed?
The information related to the James Wieberg, including its address, specialty, and other relevant details, was last updated on 2009-07-01.
NPI Number: 1063415297
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